Individual
DR. JALAL B ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC STREET, NW011, BOX 357115, SEATTLE, WA 98195-7115
(206) 598-8766
(206) 598-8475
Mailing address
BOX 357115, 1959 NE PACIFIC STREET, NW011, SEATTLE, WA 98195-7115
(206) 598-8766
(206) 598-8475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A107739
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60217663
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MONMOUTH
NJ
Enumeration date
07/17/2007
Last updated
06/18/2012
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